The Comparative Harms of Open and Robotic Prostatectomy in Population-Based Samples.

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The Comparative Harms of Open and Robotic Prostatectomy in Population-Based Samples.

September 15, 2015

Robotic assisted radical prostatectomy (RALP) has largely replaced open radical prostatectomy (RRP) for the surgical management of prostate cancer despite conflicting evidence of superiority with respect to either disease control or functional sequelae.

This study, using population cohort data, examined sexual and urinary function between men undergoing RRP versus those undergoing RALP.

This population-based study reveals that men undergoing RALP likely experience less decline in early urinary continence and sexual function compared to those undergoing RRP. The clinical meaning of these differences is uncertain and longer follow-up will be required to establish whether these benefits are durable.